郭仕琪 李宇飞 李华山

    [摘要] “脾虚湿滞”是肠澼的主要病机，“滞”包含了湿性积滞与气血之滞两种病理产物，两者在致病过程中相互影响，先予“清化湿滞”之法祛除寒湿、湿热、痰浊等实邪，令气血和;“补气健脾”为治则关键，重视补脾气之虚，固本令气血生;土虚木乘，辅以疏肝，令气机畅。临证佐加养血补虚、活血止血之品，以通气血之滞;久病伤于肾阳，少予助阳补肾之品。以经方参苓白术散合葛根芩连汤加减化裁，重在消滞与健脾，兼顾调气和血、调肝补肾，驱邪不碍正，为缓解临床症状及预防复发提供了重要思路。

    [关键词] 溃疡性结肠炎;脾虚湿滞;气血失和

    [中图分类号] R266? ? ? ? ? [文献标识码] A? ? ? ? ? [文章编号] 1673-7210(2020)02(a)-0131-04

    [Abstract] “Spleen deficiency and dampness stagnation” is the main pathogenesis of ulcerative colitis. “Stagnation” includes two pathological products， damp stagnation and stagnation of qi and blood， which interact with each other in the pathogenic process. First use the method of “clearing away dampness and stagnation” to dispel the pathogenic factors of cold-dampness， dampness heat and phlegm turbidity， so as to make qi and blood unblocked. “Invigorating qi and strengthening spleen” is the key to the treatment. Emphasis should be laid on the deficiency of spleen ......